Oral Cavity Cancer Surgical and Nodal Management: A Review From the American Head and Neck Society.
JAMA Otolaryngol Head Neck Surg
; 150(2): 172-178, 2024 Feb 01.
Article
in En
| MEDLINE
| ID: mdl-38153725
ABSTRACT
Importance Lymph node metastases from oral cavity cancers are seen frequently, and there is still inconsistency, and occasional controversies, regarding the surgical management of the neck in patients with oral cancer. This review is intended to offer a surgically focused discussion of the current recommendations regarding management of the neck, focusing on the indications and extent of dissection required in patients with oral cavity squamous cell carcinoma while balancing surgical risk and oncologic outcome. Observations The surgical management of the neck for oral cavity cancer has been robustly studied, as evidenced by substantial existing literature surrounding the topic. Prior published investigations have provided a sound foundation on which data-driven treatment algorithms can generally be recommended. Conclusions:
Existing literature suggests that patients with oral cavity cancer should be fully staged preoperatively, and most patients should receive a neck dissection even when clinically N0. Quality standards supported by the literature include separation of each level during specimen handling and lymph node yield of 18 or more nodes. Sentinel lymph node biopsy can be considered in select tumors and within a well-trained multidisciplinary team.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Mouth Neoplasms
/
Head and Neck Neoplasms
Limits:
Humans
Language:
En
Journal:
JAMA Otolaryngol Head Neck Surg
Year:
2024
Type:
Article
Affiliation country:
Canada